Investigating spatiotemporal gait parameters and gait stability in individuals with chronic idiopathic neck pain

Year 2019, Volume: 6 Issue: 3, 149 - 155, 10.01.2020

Müge Kırmızı , İbrahim Engin Şimşek Ata Elvan Ömer Akçalı Salih Angın

Abstract

Purpose: The aim was to compare gait speed, step length, cadence and gait stability ratio (GSR) between individuals with chronic idiopathic neck pain (CINP) and no-pain controls and investigate the relationship of disability with spatiotemporal gait variables and GSR in individuals with CINP.

Methods: Twenty-five individuals with CINP (17 females, 8 males) and 25 no-pain controls (17 females, 8 males) recruited into this study. All participants performed the 10-meter walking test in three walking conditions: Preferred walking (PW), walking with head rotation (HRW), walking at maximum speed (MAXW). Video analysis method involving slow-motion camera (120fps) was used to measure spatiotemporal gait parameters. GSR was calculated by dividing step counts per second to gait speed (m/s).

Results: Individuals with CINP had slower gait speed and cadence in all walking conditions (p<0.05). In individuals with CINP, step length was found to be shorter and GSR was significantly higher in only HRW (p<0.05). GSR values in all walking conditions were found to be moderately correlated with NDI (r=0.507, r=0.533, r=0.516 for PW, HRW and MAXW, respectively, all p<0.01). Step lengths in all walking conditions and preferred gait speed were found to be weakly correlated with NDI (For step lengths r=-0.485, r=-0.440, r=-0.487 for PW, HRW and MAXW, respectively, all p<0.05; for preferred gait speed r=-0.473, p<0.05).

Conclusion: Our results suggested that individuals with CINP have altered spatiotemporal gait variables. Assessment of spatiotemporal gait parameters and GSR may provide additional information for management of such disability, so should be addressed in clinical assessment of CINP.

Keywords

Neck Pain, Spine, Gait

Yürüyüşün zaman mesafe parametreleri ve yürüyüş stabilitesinin kronik idyopatik boyun ağrılı bireylerde incelenmesi

Abstract

Amaç: Çalışmanın amacı kronik idyopatik boyun ağrılı bireyler ile ağrısı olmayan kontrolleri yürüyüş hızı, tempo, adım uzunluğu ve yürüyüş stabilite oranı (YSO) bakımından karşılaştırmak ve kronik idyopatik boyun ağrılı bireylerde özür düzeyinin yürüyüşün zaman mesafe parametreleri ve YSO ile ilişkisini incelemektir.

Yöntem: Çalışmaya 25 kronik idyopatik boyun ağrılı (17 kadın, 8 erkek) ve 25 ağrısı olmayan birey (17 kadın, 8 erkek) dahil edildi. Tüm katılımcılar 10 metre yürüme testini üç yürüme koşulunda gerçekleştirdi: Normal yürüme (NY), baş rotasyonlarıyla yürüme (BRY) ve maksimum hızda yürüme (MAKSY). Yürüyüşün zaman mesafe parametreleri 120 fps’de ağır çekim yapan kamera ile değerlendirildi. YSO, yürüyüş hızının (m/sn) saniyedeki adım sayısına bölünmesiyle hesaplandı.

Bulgular: Kronik idyopatik boyun ağrılı bireylerin yürüyüş hızı ve tempolarının tüm yürüme koşullarında daha düşük olduğu görüldü (p<0.05). Kronik idyopatik boyun ağrılı bireylerin adım uzunluğu sadece BRY koşulunda daha düşük bulundu (p<0.05) ve YSO sadece BRY koşulunda daha yüksekti (p<0.05). Tüm yürüme koşullarındaki YSO ile özür düzeyi arasında orta şiddette korelasyon bulundu (NY, BRY ve MAKSY için sırasıyla r=0.507, r=0.533, r=0.516, tümü p<0.01) Tüm yürüme koşullarındaki adım uzunluğu ve normal yürüme hızının ise özür düzeyi ile zayıf şiddette korelasyon gösterdiği bulundu (NY, BRY ve MAKSY koşullarındaki adım uzunluğu için sırasıyla r=-0.485, r=-0.440, r=-0.487, tümü p<0.05; normal yürüme hızı için r=-0.473, p<0.05).

Sonuç: Çalışmamızın sonuçları, kronik idyopatik boyun ağrılı bireylerin yürüyüş parametrelerinde olumsuz değişimler olduğunu gösterdi. Farklı yürüme koşullarındaki zaman mesafe parametreleri ve YSO’nun değerlendirilmesi özür düzeyine ilişkin bilgi verebileceği için kronik boyun ağrılı bireylerin klinik değerlendirmesinde yer almalıdır.

Keywords

Boyun ağrısı, Omurga, Yürüyüş

References

• 1. Vernon HT, Humphreys BK, Hagino CA. A systematic review of conservative treatments for acute neck pain not due to whiplash. J Manipulative Physiol Ther. 2005;28:443-448.
• 2. Côté P, Cassidy JD, Carroll LJ, et al. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain. 2004;112:267-273.
• 3. Goode AP, Freburger J, Carey T. Prevalence, practice patterns, and evidence for chronic neck pain. Arthritis Care Res. 2010;62:1594-1601.
• 4. Poole E, Treleaven J, Jull G. The influence of neck pain on balance and gait parameters in community-dwelling elders. Man Ther. 2008;13:317-324.
• 5. Uthaikhup S, Sunkarat S, Khamsaen K, et al. The effects of head movement and walking speed on gait parameters in patients with chronic neck pain. Man Ther. 2014;19:137-141.
• 6. Silva AG, Cruz AL. Standing balance in patients with whiplash-associated neck pain and idiopathic neck pain when compared withasymptomatic participants: a systematic review. Physiother Theory Pract. 2013;29:1-18.
• 7. Pettorossi VE, Schieppati M. Neck proprioception shapes body orientation and perception of motion. Front Hum Neurosci. 2014;8:895.
• 8. de Zoete RM, Osmotherly PG, Farrell SF, et al. Sensorimotor control in individuals with idiopathic neck pain and healthy individuals: A systematic review and meta-analysis. Arch Phys Med Rehabil. 2017;98:1257-1271.
• 9. Ferraro RA, Pinto-Zipp G, Simpkins S. Effects of an inclined walking surface and balance abilities on spatiotemporal gait parameters of older adults. J Geriatr Phys Ther. 2013;36:31-38.
• 10. Cromwell RL, Newton RA. Relationship between balance and gait stability in healthy older adults. J Aging Phys Act. 2004;12:90-100.
• 11. Misailidou V, Malliou P, Beneka A, et al. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med. 2010;9:49-59.
• 12. Blanpied PR, Gross AR, Elliott JM, et al. Neck pain: revision 2017: clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2017;47:A1-A83.
• 13. Rogers HL, Cromwell RL, Grady JL. Adaptive changes in gait of older and younger adults as responses to challenges to dynamic balance. J Aging Phys Act. 2008;16:85-96.
• 14. Aslan E, Karaduman A, Yakut Y, et al. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33:E362-E365.
• 15. Larson DP, Noonan BC. A simple video-based timing system for on-ice team testing in ice hockey: A technical report. J Strength Cond Res. 2014;28:2697-2703.
• 16. Haugen TA, Tønnessen E, Seiler SK. The difference is in the start: impact of timing and start procedure on sprint running performance. J Strength Cond Res. 2012;26:473-479.
• 17. Peters DM, Fritz SL, Krotish DE. Assessing the reliability and validity of a shorter walk test compared with the 10-Meter Walk Test for measurements of gait speed in healthy, older adults. J Geriatr Phys Ther. 2013;36:24-30.
• 18. Newlands SD, Abbatematteo B, Wei M, et al. Convergence of linear acceleration and yaw rotation signals on non-eye movement neurons in the vestibular nucleus of macaques. J Neurophysiol. 2017;119:73-83.
• 19. Gdowski GT, McCrea RA. Integration of vestibular and head movement signals in the vestibular nuclei during whole-body rotation. J Neurophysiol. 1999;82:436-449.
• 20. Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008;13:2-11.
• 21. Liu-Ambrose T, Katarynych LA, Ashe MC, et al. Dual-task gait performance among communitydwelling senior women: the role of balance confidence and executive functions. J Gerontol A Biol Sci Med Sci. 2009;64:975-982.
• 22. Kobayashi S, Nakano W, Suzuki Y, et al. Relationship of dual task performance ability and balance ability in community-dwelling elderly. J Physiother. 2015;101:e771.
• 23. Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatr Gerontol Int. 2016;16:89-94.
• 24. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16:1-14.